Low Protein Diets for Pregnant Women and Its Association with Insulin Secretion and Resistance

Authors

  • Jacqueline Zarkos Department of Physiology, Faculty of Medicine, Trakia University, str. Armeyska 11, Stara Zagora 6000, Bulgaria
  • Daniel Addai Department of Physiology, Faculty of Medicine, Trakia University, str. Armeyska 11, Stara Zagora 6000, Bulgaria
  • Anna Tolekova Department of Physiology, Faculty of Medicine, Trakia University, str. Armeyska 11, Stara Zagora 6000, Bulgaria

DOI:

https://doi.org/10.3889/oamjms.2019.081

Keywords:

Gestational Diabetes Mellitus, Protein diets, pregnancy, insulin sensitivity

Abstract

Gestational diabetes mellitus (GDM) complicates 3.5% of pregnancies in England and Wales and continues to show an increase in incidence each year. GDM can lead to diabetes postpartum, it is associated with an increased perinatal risk, and an increase in neonatal mortality. This review article looks at different studies regarding protein diets and their potential effects on GDM. We aimed to determine if a certain protein diet could potentially help protect against GDM using. We found that while a few studies have shown that increasing proteins in the diet of pregnant women, specifically that from poultry, whey, fish, nuts and legumes, may reduce the risk of GDM, there is certainly room for further research on the topic.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

McGovern A, Butler L, Jones S, van Vlymen J, Sadek K, Munro N, Carr H, de Lusignan S. Diabetes screening after gestational diabetes in England: a quantitative retrospective cohort study. Br J Gen Pract. 2014; 64(618):e17-23. https://doi.org/10.3399/bjgp14X676410 PMid:24567578 PMCid:PMC3876168

Genova M, Atanasova B, Ivanova I, Todorova K, Svinarov D. Trace Elements and Vitamin D in Gestational Diabetes. Acta Medica Bulgarica. 2018; 45(1):45-9. https://doi.org/10.2478/amb-2018-0009

Kim C, Newton KM, Knopp RH. Gestational diabetes and the incidence of type 2 diabetes: a systematic review. Diabetes care. 2002; 25(10):1862-8. https://doi.org/10.2337/diacare.25.10.1862 PMid:12351492

Nouh F, Omar M, Younis M. Gestational Diabetes Mellitus; Mother and Infancy outcome (Review). Scholars Academic Journal of Biosciences. 2017; 5(11):778-784.

Buchanan TA, Xiang A, Kjos SL, Watanabe R. What is gestational diabetes? Diabetes care. 2007; 30(Supplement 2):S105-11. https://doi.org/10.2337/dc07-s201 PMid:17596457

Pridjian G, Benjamin TD. Update on gestational diabetes. Obstetrics and Gynecology Clinics. 2010; 37(2):255-67. https://doi.org/10.1016/j.ogc.2010.02.017 PMid:20685552

Setji TL, Brown AJ, Feinglos MN. Gestational diabetes mellitus. Clinical diabetes. 2005; 23(1):17-24. https://doi.org/10.2337/diaclin.23.1.17

Soma-Pillay P, Catherine NP, Tolppanen H, Mebazaa A, Tolppanen H, Mebazaa A. Physiological changes in pregnancy. Cardiovascular journal of Africa. 2016; 27(2):89. https://doi.org/10.5830/CVJA-2016-021 PMid:27213856 PMCid:PMC4928162

Nadal A, Alonsoâ€Magdalena P, Soriano S, Ropero AB, Quesada I. The role of oestrogens in the adaptation of islets to insulin resistance. The Journal of physiology. 2009; 587(21):5031-7. https://doi.org/10.1113/jphysiol.2009.177188 PMid:19687125 PMCid:PMC2790246

Rieck S, Kaestner KH. Expansion of β-cell mass in response to pregnancy. Trends in Endocrinology & Metabolism. 2010; 21(3):151-8. https://doi.org/10.1016/j.tem.2009.11.001 PMid:20015659 PMCid:PMC3627215

Zhang H, Zhang J, Pope CF, Crawford LA, Vasavada RC, Jagasia SM, Gannon M. Gestational diabetes mellitus resulting from impaired β-cell compensation in the absence of FoxM1, a novel downstream effector of placental lactogen. Diabetes. 2010; 59(1):143-52. https://doi.org/10.2337/db09-0050 PMid:19833884 PMCid:PMC2797915

Fernandez-Morera JL, Rodriguez-Rodero S, Menendez-Torre E, Fraga MF. The possible role of epigenetics in gestational diabetes: cause, consequence, or both. Obstetrics and gynecology international. 2010; 2010.

Bener A, Saleh NM, Al-Hamaq A. Prevalence of gestational diabetes and associated maternal and neonatal complications in a fast-developing community: global comparisons. International journal of women's health. 2011; 3:367. https://doi.org/10.2147/IJWH.S26094 PMid:22140323 PMCid:PMC3225465

Catalano PM, Kirwan JP, Haugel-de Mouzon S, King J. Gestational Diabetes and Insulin Resistance: Role in Short-and Long-Term Implications for Mother and Fetus, 2. The Journal of nutrition. 2003; 133(5):1674S-83S. https://doi.org/10.1093/jn/133.5.1674S PMid:12730484

Catalano PM, McIntyre HD, Cruickshank JK, McCance DR, Dyer AR, Metzger BE, Lowe LP, Trimble ER, Coustan DR, Hadden DR, Persson B. The hyperglycemia and adverse pregnancy outcome study: associations of GDM and obesity with pregnancy outcomes. Diabetes care. 2012:DC111790. https://doi.org/10.2337/dc11-1790

Hedderson MM, Ferrara A, Sacks DA. Gestational diabetes mellitus and lesser degrees of pregnancy hyperglycemia: association with increased risk of spontaneous preterm birth. Obstetrics & Gynecology. 2003; 102(4):850-6. https://doi.org/10.1097/00006250-200310000-00030

Köck K, Köck F, Klein K, Bancher-Todesca D, Helmer H. Diabetes mellitus and the risk of preterm birth with regard to the risk of spontaneous preterm birth. The Journal of Maternal-Fetal & Neonatal Medicine. 2010; 23(9):1004-8. https://doi.org/10.3109/14767050903551392 PMid:20059440

Xiong X, Saunders LD, Wang FL, Demianczuk NN. Gestational diabetes mellitus: prevalence, risk factors, maternal and infant outcomes. International Journal of Gynecology & Obstetrics. 2001; 75(3):221-8. https://doi.org/10.1016/S0020-7292(01)00496-9

Han Z, Lutsiv O, Mulla S, Rosen A, Beyene J, McDonald SD. Low gestational weight gain and the risk of preterm birth and low birthweight: a systematic review and metaâ€analyses. Acta obstetricia et gynecologica Scandinavica. 2011; 90(9):935-54. https://doi.org/10.1111/j.1600-0412.2011.01185.x PMid:21623738

Ros HS, Cnattingius S, Lipworth L. Comparison of risk factors for preeclampsia and gestational hypertension in a population-based cohort study. American journal of epidemiology. 1998; 147(11):1062-70. https://doi.org/10.1093/oxfordjournals.aje.a009400 PMid:9620050

Sarkar S, Watman J, Seigel WM, Schaeffer HA. A prospective controlled study of neonatal morbidities in infants born at 36 weeks or more gestation to Women with diet-controlled gestational diabetes (GDM-class Al). Journal of perinatology. 2003; 23(3):223. https://doi.org/10.1038/sj.jp.7210882 PMid:12732860

Boney CM, Verma A, Tucker R, Vohr BR. Metabolic syndrome in childhood: association with birth weight, maternal obesity, and gestational diabetes mellitus. Pediatrics. 2005; 115(3):e290-6. https://doi.org/10.1542/peds.2004-1808 PMid:15741354

Goldman M, Kitzmiller JL, Abrams B, Cowan RM, Laros RK. Obstetric complications with GDM: effects of maternal weight. Diabetes. 1991; 40(Supplement 2):79-82. https://doi.org/10.2337/diab.40.2.S79 PMid:1748271

Belobrajdic DP, McIntosh GH, Owens JA. A high-whey-protein diet reduces body weight gain and alters insulin sensitivity relative to red meat in wistar rats. The Journal of nutrition. 2004; 134(6):1454-8. https://doi.org/10.1093/jn/134.6.1454 PMid:15173411

Farnsworth E, Luscombe ND, Noakes M, Wittert G, Argyiou E, Clifton PM. Effect of a high-protein, energy-restricted diet on body composition, glycemic control, and lipid concentrations in overweight and obese hyperinsulinemic men and women. The American journal of clinical nutrition. 2003; 78(1):31-39. https://doi.org/10.1093/ajcn/78.1.31 PMid:12816768

Glueck CJ, Wang P, Kobayashi S, Phillips H, Sieve-Smith L. Metformin therapy throughout pregnancy reduces the development of gestational diabetes in women with polycystic ovary syndrome. Fertility and sterility. 2002; 77(3):520-5. https://doi.org/10.1016/S0015-0282(01)03202-2

Bao W, Bowers K, Tobias DK, Olsen SF, Chavarro J, Vaag A, Kiely M, Zhang C. Prepregnancy low-carbohydrate dietary pattern and risk of gestational diabetes mellitus: a prospective cohort study. The American journal of clinical nutrition. 2014; 99(6):1378-84. https://doi.org/10.3945/ajcn.113.082966 PMid:24717341 PMCid:PMC4021782

Bao W, Bowers K, Tobias DK, Hu FB, Zhang C. Prepregnancy dietary protein intake, major dietary protein sources, and the risk of gestational diabetes mellitus: a prospective cohort study. Diabetes Care. 2013:DC122018. https://doi.org/10.2337/dc12-2018

He JR, Yuan MY, Chen NN, Lu JH, Hu CY, Mai WB, Zhang RF, Pan YH, Qiu L, Wu YF, Xiao WQ. Maternal dietary patterns and gestational diabetes mellitus: a large prospective cohort study in China. British Journal of Nutrition. 2015; 113(8):1292-300. https://doi.org/10.1017/S0007114515000707 PMid:25821944

Schoenaker DA, Soedamah-Muthu SS, Callaway LK, Mishra GD. Pre-pregnancy dietary patterns and risk of gestational diabetes mellitus: results from an Australian population-based prospective cohort study. Diabetologia. 2015; 58(12):2726-35. https://doi.org/10.1007/s00125-015-3742-1 PMid:26358582

Zhang C, Ning Y. Effect of dietary and lifestyle factors on the risk of gestational diabetes: review of epidemiologic evidence. The American journal of clinical nutrition. 2011; 94(Suppl 6):1975S-9S. https://doi.org/10.3945/ajcn.110.001032 PMid:21613563 PMCid:PMC3364079

Moses RG, Shand JL, Tapsell LC. The recurrence of gestational diabetes: could dietary differences in fat intake be an explanation? Diabetes care. 1997; 20(11):1647-50. https://doi.org/10.2337/diacare.20.11.1647 PMid:9353601

Metzger BE, Coustan DR, Organizing Committee. Summary and recommendations of the fourth international workshop-conference on gestational diabetes mellitus. Diabetes care. 1998; 21:161.

Bowers K, Tobias DK, Yeung E, Hu FB, Zhang C. A prospective study of prepregnancy dietary fat intake and risk of gestational diabetes. The American journal of clinical nutrition. 2012; 95(2):446-53. https://doi.org/10.3945/ajcn.111.026294 PMid:22218158 PMCid:PMC3260071

Saldana TM, Siega-Riz AM, Adair LS. Effect of macronutrient intake on the development of glucose intolerance during pregnancy. The American journal of clinical nutrition. 2004; 79(3):479-86. https://doi.org/10.1093/ajcn/79.3.479 PMid:14985225

Mitanchez D, Burguet A, Simeoni U. Infants born to mothers with gestational diabetes mellitus: mild neonatal effects, a long-term threat to global health. The Journal of pediatrics. 2014; 164(3):445-50. https://doi.org/10.1016/j.jpeds.2013.10.076 PMid:24331686

Published

2019-02-25

How to Cite

1.
Zarkos J, Addai D, Tolekova A. Low Protein Diets for Pregnant Women and Its Association with Insulin Secretion and Resistance. Open Access Maced J Med Sci [Internet]. 2019 Feb. 25 [cited 2024 Mar. 28];7(4):686-9. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2019.081

Issue

Section

F - Review Articles